Sexual health assessments in primary care
a qualitative study of nurse practitioners’ lived experiences
DOI:
https://doi.org/10.18041/1794-5232/cultrua.2018v15n2.5113Keywords:
nurse practitioner, phenomenology, sexual health assessment, primary health care, self-conceptAbstract
Sexual and reproductive health is a global health, development, and human rights priority. In addition, universal access to sexual and reproductive health is essential. Unfortunately, many nurses feel uncomfortable talking to their patients about sexual health. The purpose of this qualitative study is to illuminate the lived experiences of family nurse practitioners in primary health care when performing sexual health assessments on their adult clients. Using van Manen’s interpretive phenomenological approach, ten interviews were transcribed and analyzed. Understanding the lived experience of these female FNPs, illuminated some of the common experiences when performing a sexual health assessment on their adult clients. Three themes were identified: self-concept, presence, and prudence. There are global nursing implications from understanding these experiences on nursing education, practice, and research.
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References
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28. McMahon M. Christopher K. Towards a mid-range theory of nursing presence. Nursing Forum. 2011; 26(2): 71-82.
29. Kostovich C. Development and psychometric assessment of the Presence of Nursing Scale. Nursing Science Quarterly. 2012; 25(2): 167-175.
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31. Freud, S. An outline of psychoanalysis, an authorized translation. New York: W.W. Norton;1949
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33. Kohlberg L. The philosophy of moral development: Volume 1. San Francisco: Harper & Row; 1981
34. Gilligan C. In a different voice: Psychological theory and women’s development. Cambridge, MA: Harvard University Press; 1982
35. Markus H. Self-schemata and processing information about the self. Journal of Personality and Social Psychology. 1977; 35(2): 63-78.
36. Roy, Sr. C. Introduction to Nursing An Adaptation Model (2nd ed.). New Jersey: Prentice-Hall, Inc; 1984
37. Ayaz, S. Sexuality and nursing process: A literature review. Sexual Disability. 2013; 31, 3-12.
38. Arthur D. Randle J. The professional self-concept of nurses: A review of the literature from 1992-2006. Australian Journal of Advanced Nursing. 2007; 24(3): 60-64.
39. Gott M. Galena E. Hinchliff, S. Elford, H. “Opening a can of worms”: GP and practice nurse barriers to talking about sexual health in primary care. Family Practice. 2004; 21(5): 528-536.
40. The University of Tennessee at Chattanooga School of Nursing Faculty & Students. Theory Based Nursing Practice. 2004[Quoted July 23, 2017] Available at: http://www. utc.edu/nursing/pdfs/classes/oremhandbook.pdf
2. World Health Organization (WHO) 2011. Sexual and reproductive health core competencies in primary care: Attitudes, knowledge, ethics, human rights, leadership, management, teamwork, community work, education, counseling, clinical settings, service, provision. Geneva: World Health Organization, 2014. Available at: http://whqlibdoc.who. int/publications/2011/9789241501002 e n g . p d f .
3. Berg J, Woods N, Kostas-Polston E, Johnson-Mallard V. Breaking down silos: The future of sexual and reproductive healthcare-An opinion from the women’s health expert panel of the American Academy of Nursing: Journal of the American Association of Nurse Practitioners 2014; 26(1): 3–4.
4. Office of Disease Prevention & Health Promotion, Health People 2020. [Quoted June 20, 2017] Available at https://www.healthypeople.gov/
5. Loeb D, Lee R, Binswanger I, Ellison M, Aagaard E. Patient, resident physician, and visit factors associated with documentation of sexual history in the outpatient setting: Journal of General Internal Medicine 2011; 26(8): 887-893.
6. Centers for Disease Control and Prevention. (CDC). 2011. A Public Health Approach for Advancing Sexual Health in the United States: Rationale and Options for Implementation, Meeting Report of an External Consultation. Available at http:// www.cdc.gov/sexualhealth/docs/ SexualHealthReport-2011-508.pdf
7. East L, Hutchinson M. Moving beyond the therapeutic relationship: a selective review of intimacy in the sexual health encounter in nursing practice. Journal of Clinical Nursing 2013; 22: 3568- 3576. doi: 10.1111/jcon.12247
8. McLemore M, Levi A, James E. Recruitment and retention strategies for expert nurses in abortion care provision. Contraception. 2015; 91(6): 474-479.
9. Maes C, Louis M. Nurse practitioners’ sexual history-taking practices with adults 50 and older. The Journal for Nurse Practitioners. 2011; 7(3): 216-22.
10. Herson L, Hart K, Gordon M, Rintala D. Identifying and overcoming barriers to providing sexuality information in the clinical setting. Rehabilitation Nursing 1999; 24(4): 148-151. doi: 10.1002/j.2048-7940.1999.tb02162.x
11. Lewis S, Bor R. Nurses’ knowledge of and attitudes towards sexuality and the relationship of these with nursing practice. Journal of Advanced Nursing. 1994; 20(2): 251-259.doi: 10.1046/ j.1365-2648.1994.20020251
12. Saunamaki N, Engstrom M. Registered nurses’ reflections on discussing sexuality with patients: responsibilities, doubts and fears. Journal of Clinical Nursing 2013; 23: 531-540.
13. Hayter M, Haigh C, Jackson D. Editorial: Representations of sexuality: a snapshot of 5 years of scholarship. Journal of Clinical Nursing 2013; 22: 3237-3238. doi:10..1111/jocn.12143
14. East L, Jackson D. Sexuality and sexual health: Nurses’ crucial role. Contemporary Nurse. 2013; 44(1): 47-49.
15. Auerbach D, Pearson M, Taylor D, Battistelli M, Sussell J, Hunter, L..... Schneider E. Nurse Practitioners and Sexual and Reproductive Health Services: An Analysis of Supply and Demand 2012. [Quoted July 3, 2017] Available at: http://www.rand.org/ pubs/technical_reports/TR1224.
16. Kaplan C. Assessing & managing female sexual dysfunction. The Nurse Practitioner. 2009; 34(1): 43-49.
17. Hoglund B, Ash L. Shuler nurse practitioner practice model. In Peterson S, Bredow T. (Eds.) Middle range theories: Application to nursing: 2013.
18. Merleau-Ponty, M. Phenomenology of Perception. London, England: Routledge; 1962.
19. van Manen, M. Researching lived experiences. Albany, New York: State University of New York Press. 1990.
20. Morse J, Field P. Qualitative research methods health professionals. 2nd ed. USA: SAGE publications, Inc; 1995. p. 22
21. van Manen, M. Phenomenology of Practice. Walnut Creek, California: Left Coast Press Inc. 2012. p. 355
22. Roy, Sr. C. Introduction to Nursing An Adaptation Model (2nd ed.). New Jersey: Prentice-Hall, Inc. 1984.
23. Roy, Sr. C. Andrews H. The Roy Adaptation Model. New York: Prentice Hall. 1999.
24. Nightingale F. Notes on nursing. What it is, and what it is not. New York: Dover Publications. 1968.
25. Watson J. Postmodern nursing and beyond. New York: Churchill Livingstone. 1999
26. Bunkers S. The Lived experience of feeling disappointed: A Parse research method study. Nursing Science Quarterly. 2012; 2(4): 79-84.
27. Hessel J. Presence in nursing practice. A concept analysis. Holistic Nursing Practice. 2009; 23: 276-281.
28. McMahon M. Christopher K. Towards a mid-range theory of nursing presence. Nursing Forum. 2011; 26(2): 71-82.
29. Kostovich C. Development and psychometric assessment of the Presence of Nursing Scale. Nursing Science Quarterly. 2012; 25(2): 167-175.
30. Huycke L. All A. Quality in health care and ethical principles. Journal of Advanced Nursing. 2000; 32(3): 562-571.
31. Freud, S. An outline of psychoanalysis, an authorized translation. New York: W.W. Norton;1949
32. Neugarten B. Time, age, and the life cycle. The American Journal of Psychiatry. 1979; 137(7): 887-894.
33. Kohlberg L. The philosophy of moral development: Volume 1. San Francisco: Harper & Row; 1981
34. Gilligan C. In a different voice: Psychological theory and women’s development. Cambridge, MA: Harvard University Press; 1982
35. Markus H. Self-schemata and processing information about the self. Journal of Personality and Social Psychology. 1977; 35(2): 63-78.
36. Roy, Sr. C. Introduction to Nursing An Adaptation Model (2nd ed.). New Jersey: Prentice-Hall, Inc; 1984
37. Ayaz, S. Sexuality and nursing process: A literature review. Sexual Disability. 2013; 31, 3-12.
38. Arthur D. Randle J. The professional self-concept of nurses: A review of the literature from 1992-2006. Australian Journal of Advanced Nursing. 2007; 24(3): 60-64.
39. Gott M. Galena E. Hinchliff, S. Elford, H. “Opening a can of worms”: GP and practice nurse barriers to talking about sexual health in primary care. Family Practice. 2004; 21(5): 528-536.
40. The University of Tennessee at Chattanooga School of Nursing Faculty & Students. Theory Based Nursing Practice. 2004[Quoted July 23, 2017] Available at: http://www. utc.edu/nursing/pdfs/classes/oremhandbook.pdf
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Published
2018-12-01
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How to Cite
Sexual health assessments in primary care: a qualitative study of nurse practitioners’ lived experiences. (2018). Cultura, 15(2), 80-92. https://doi.org/10.18041/1794-5232/cultrua.2018v15n2.5113
